| Brian Gonzales Chiropractic Inc | |
|
2200 Hamner Ave Ste 100 Norco CA 92860-2673 | |
| (951) 805-3077 | |
| (951) 278-4436 |
| Full Name | Brian Gonzales Chiropractic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Hamner Ave Ste 100, Norco, California |
| Authorized Official Name and Position | Brian P Gonzales (OWNER) |
| Authorized Official Contact | 9518053077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Gonzales Chiropractic Inc 2200 Hamner Ave Ste 100 Norco CA 92860-2673 Ph: (951) 805-3077 | Brian Gonzales Chiropractic Inc 2200 Hamner Ave Ste 100 Norco CA 92860-2673 Ph: (951) 805-3077 |
| NPI Number | 1457038689 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 5698135044 |
|---|---|
| Medicare Enrollment ID | O20230717001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457038689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Brian P Gonzales |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790969970 PECOS PAC ID: 7719102797 Enrollment ID: I20140707002068 |
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